VII Flashcards

1
Q

sympathetic opthalmia

A

spared eye injury
immune mediated inflammation of one eye after penetrating injury to other eye
manifests as anterior uveitis- can progress to papillary edema and blindness
mechanism– hidden antigens that are “uncovered”

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2
Q

cause of compresstion fracture

A

osteoporosis

loss of bone mineral density

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3
Q

tinea versicolor

A
malasseiza globosa
hypopigmented and hyperpigmented lesions
fine scale and pruritis
KOH show hyphae and yeast cells
buzz= spaghetti and meatballs pattern
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4
Q

Tx for tinea versicolor

A

topical ketoconazole, terbinafine or selenium sulfide

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5
Q

presentation and lab values of VIPoma

A

watery diarrhea, flushing, lethargy, n/v, hypokalemia, hyperCa, hyperglycemia

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6
Q

where are VIPomas usually found

A

pancreatic tail

localized with abdominal CT or MRI

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7
Q

Tx for VIPoma

A

IV volume repletion, ocreotide, and hepatic resection if mets to liver

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8
Q

if patient has positive urine bilirubin then is buildup conj or unconj

A

conj

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9
Q

+ bilirubin in UA

normal ALT AST and AlkPhos

A

rotors syndrome

defect in hepatic secretion of conjugate bilirubin into the biliary sytem

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10
Q

labs of nonseminomatous germ cell tumor

A

increased bhcg and increased AFP

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11
Q

labs of seminomatous germ cell tumor

A

increased b-hcg but not increased AFP

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12
Q

Tx for meningitis in immunocompromised patients

A

Vanco, ampicillin plus cefepine or ceftazidime

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13
Q

Tx goodpastures

A

emergency plasmaphoresis

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14
Q

Tx wegeners

A

cyclophosphamide and steroids

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15
Q

what can cause nonalcoholic fatty liver disease

A

peripheral insulin resistance that leads to increased peripheral lipolysis, triglyceride synthesis and hepatic uptake of fatty acids

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16
Q

CBC in crohns

A

anemia and reactive thrombocytosis

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17
Q

signs of toxic shock syndrome

A

fever, myalgias, marked hypotension and diffuse erythematous macular rash

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18
Q

most common source of DVT

A

proximal deep leg veins

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19
Q

symptoms of intracranial HTN, pseudotumor cerebri

A

holocranial HA, vision changes, pulsatile tinnitus “whooshing sound to ears”

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20
Q

progression of malignant otitis externa

A

osteomyelitis of the skull base and destruction facial nerve

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21
Q

pathogen that causes post viral URI necrotizing pulmonary bronchopneumonia with multiple nodular infiltrates that can cavitate to cause small abscesses

A

staph aureus

22
Q

primary polydipsia occurs with what otehr condition

A

schizophrenia

23
Q

Tx of hep B

A

interferon
lamivudine
entecavir
tenofovir

24
Q

hep C Tx

A

pegylated interferon + ribavirin

25
Q

those with menieres disease should avoid what food

A

salt, alcohol, caffeine and nicotine because all can increase endolymphatic retention

26
Q

symptoms of menieres

A

vertigo, ear fullness, tinnitus, hearing loss

27
Q

initial drug of choice for hypercalcemia of malignancy

A

bisphosphonates: zoledronic acid, pamidronate

28
Q

CV effects of thyrotoxicosis

A

tachy cardia, systolic HTN, widened pulse P

afib/flutter and atrial and ventricular ectophy

29
Q

what causes the systolic HTN in thyrotoxicosis

A

increased myocardial contractility and HR

30
Q

what pathogens cause pulmonary cavitation in HIV patient

A

m tb, atypical mycobacteria, nocardia, gram neg rods and anaerobes

31
Q

Tx choice for nocardia

A

TMP SMX

32
Q

acid fast, filamentous branching rods

A

nocardia

33
Q

pathophys of ARDS

A

impaired gas exchange
decreased lung compliance
pulmonary HTN
all caused by leakage of bloody and proteinaceous fluid into the alveoli

34
Q

when do you use physostigmine

A

reverse life threatening anticholinergic agents

35
Q

pulsus paradoxus

A

aortic dissection

36
Q

labs of TTP

A

hemolytic anemia and thrombocytopenia, schistocytes on peripheral smear
altered mental status, renal failure and fever

37
Q

Dx of TTP

A

based on ADAMTS13 activity

38
Q

all patients with presumed ITP should be screened for what

A

HIV and Hep C

39
Q

ITP labs

A

isolated thrombocytopenia without anemia or leukopenia

40
Q

Schilling test

A

determine B12 deficiency due to pernicious anemia or malabsoprtive

41
Q

drug used for diabetic gastroparesis

A

metoclopramide,

42
Q

empiric Ab therapy for acute prostatitis

A

TMP SMX or fluoroquinolone

43
Q

which side is more likely to have varicocele

A

Left because the left gonadal vein enters left renal vein at a right angle
get compression between SMA and aorta

44
Q

if patient has right sided varicocele what should you look for

A

IVC compression (renal cell carcinoma) or obstruction in IVC causing compression of the R gonadal vein and backup

45
Q

bupropion

A

most common used for smoking cessation

46
Q

conservative management for kidney stone

A

hydration, analgesics and alpha blockers

47
Q

cause of senile purpura aka bruising of old people

A

perivascular CT atrophy

48
Q

skin lesions of blastomycosis

A

heaped up cerrucous or nodular lesions with violaceous hue that may evolve into microabscesses

49
Q

Achalasia vs stricture

A

achalasia presents with dysphagia for solids and liquids! heartburn, regurg and weight loss
will have dilated esophagus and distal narrowing in achalasia

50
Q

before starting Tx for achalasia what should you do

A

endoscopy to exclude esophageal malignancy